Volume 27
Issue 2
Winter '20

The Cost of Doing Business: Institutional Bias and Community-Based Services and Supports

Written By: Emily Shea Tanis

Abstract

Institutionalization bias for people with intellectual and developmental disabilities (IDD) is woven into the fabric of U.S. history. To realize the promise of the landmark Olmstead ruling and the Americans with Disabilities Act and promote meaningful community inclusion for people with IDD and their families, we must understand how institutional bias began in the U.S. and how our economic investments over time have changed to reflect social conscious. This Article will demonstrate trends in economic investments in institutionalization and community-living long-term services and supports since the early 1900s that parallel the nation’s drive, or lack thereof, to promote access to the community.

 

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